Table 1.
Analysis of 22 cases of thyroid cancer spinal metastases
| Patients | Age (year)/sex | LC | Presentation | Preoperation | Postoperation | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| F-S | Tx | Resection mode | Instrument | F-S | Pathologic | F-U (month) | Last status | ||||
| #1 | 63/F | C4–5 | 4 months of pain and neurologic deficit | D | OP | Total | TM/AP/PF | E | Papillary | 61 | NED |
| #2 | 45/M | C1, 2, 5 | 1 months of swallowing difficult, voice hoarse | C | OP+131I | Total | TM/PF | E | Papillary | 21 | NED |
| #3 | 65/F | C2 | 1 year of pain and neurologic deficit | C | OP | Subtotal | PF | E | Papillary | 18 | NED |
| #4 | 72/F | C5, 6 | 2 years of pain and neurologic deficit | C | OP | Subtotal | TM/AP | D | Papillary | 24 | NED |
| #5 | 69/F | C5, 6 | 1 month of neurologic deficit | C | OP | Total | TM/AP/PF | D | Medullary | 8 | NED |
| #6 | 37/F | T7 | 8 months of pain and 6 months of neurologic deficit | C | EMB+OP | Total | AV | D | Follicular | 78 | AWD |
| #7 | 63/F | T8 | 2 months of pain | D | EMB+OP | Total | TM/PF | E | Follicular | 63 | DOD |
| #8 | 50/M | T7 | 3 months neurologic deficit | A | EMB+OP+131I | Total | TM/PF | E | Follicular | 56 | NED |
| #9 | 46/F | T10 | 9 months of pain and neurologic deficit | C | EMB+OP+131I | Total | TM/PF | E | Follicular | 46 | NED |
| #10 | 57/F | T9 | 6 months of pain and neurologic deficit | C | EMB+OP | Total | TM/PF | D | Papillary | 41 | NED |
| #11 | 54/M | T3, 9 | 4 years of pain and 20 days of neurologic deficit | C | EMB+OP | Total | PF | D | Follicular | 27 | NED |
| #12 | 29/F | T6 | 4 months of pain and 3 months of neurologic deficit | C | EMB+OP | Total | PF | E | Follicular | 29 | AWD |
| #13 | 74/F | T3 | 3 months of pain and neurologic deficit | B | EMB+OP | Total | TM/PF | D | Follicular | 19 | NED |
| #14 | 78/M | T2 | 3 months of pain and 20 days of neurologic deficit | B | EMB+OP | Total | PF | E | Papillary | 9 | NED |
| #15 | 63/F | T1 | 10 months of pain | C | EMB+OP | Subtotal | PF | D | Follicular | 10 | NED |
| #16 | 57/M | T10 | 3 years of pain and 1 month of neurologic deficit | C | EMB+OP+131I | Total | TM/PF | D | Follicular | 8 | NED |
| #17 | 59/M | T12 | 1 month of pain and 1 week of neurologic deficit | A | EMB+OP | Total | TM/PF | A | Poorly differentiated follicular | 4 | NED |
| #18 | 58/F | L2, 3 | 1 year of pain | C | EMB+OP | Total | TM/PF | C | Poorly differentiated follicular | 22 | DOD |
| #19 | 60/F | L5 | 1 year of pain and neurologic deficit | C | EMB+OP | Total | TM/PF | E | Follicular | 33 | NED |
| #20 | 37/M | L1 | 1 month of pain | E | EMB+OP+131I | Total | TM/PF | E | Follicular | 10 | NED |
| #21 | 42/F | S1 | 6 months of pain | E | EMB+OP | Total | PF | E | Follicular | 55 | NED |
| #22 | 63/F | S1–2 | 2 years of pain and 2 months of neurologic deficit | C | EMB+OP | Total | PF | D | Follicular | 14 | NED |
AP anterior plating, AV artificial vertebral, AWD alive with disease, DOD dead of disease, EMB arterial embolization, LC location, F female, F-U follow up, F-S Frankel classification score, M male, MET metastases, NED no evidence of disease, OP operation, PF posterior fixation, Subtotal subtotal resection, Total total spondylectomy, TM titanium mesh, Tx treatment